What tests should a woman undergo at the hospital for vaginal itching?

Women experiencing vulvar itching should visit a hospital for relevant examinations, such as routine vaginal discharge testing and vulvar biopsy.

1. Routine Vaginal Discharge Examination: During this examination, a qualified physician uses a speculum to gently separate the vaginal walls and then collects an appropriate sample of vaginal discharge from the posterior fornix (the area just below the cervix) using a sterile cotton swab. Laboratory analysis of the sample helps accurately identify the underlying cause of vulvar pruritus. If the results confirm candidal (yeast) vaginitis, treatment with antifungal medications—such as clotrimazole vaginal suppositories—may be prescribed per the physician’s instructions.

2. Vulvar Biopsy: In cases of severe or persistent vulvar itching, conditions such as genital warts, vulvar skin lesions (e.g., benign or malignant growths), or vulvar dystrophy (e.g., lichen sclerosus or squamous cell hyperplasia) may be suspected. A vulvar biopsy performed at a reputable medical facility is recommended. Histopathological analysis of the biopsy specimen enables precise diagnosis, allowing for targeted, evidence-based treatment under the guidance of a specialist.

During treatment, maintain meticulous hygiene of the genital area. Wear loose-fitting, 100% cotton underwear; avoid spicy and irritating foods; and abstain from sexual intercourse until fully recovered.